Acute And Chronic Sinusitis Flashcards
1
Q
Sinusitis
A
Inflamm muc mems of paranasal sini
Usually sterile
Acute under 4wk
Chronic over 12wk
2
Q
comm orgs
A
Strep pneum
H influ
rhinovirus
3
Q
RFs
A
Nasal obstruc eg septal dev and polyps
Recent local infec eg rhinitis or dental work
Swimming, diving
Smoking
4
Q
px
A
Facial pain- frontal pess pain worse bend forward
Nasal disch thick purulent
Nasal obstruc so mouth breathing
Post nasal drip chronic cough
5
Q
mx acute
A
Analgesia
Intranasal decong
Oral amox if sev 5d
Co amox IV if sys ill 5d
6
Q
Mx chronic
A
Tx any acute element
Intranasal steroid
Oral clarithromycin 14d
Ref ENT
